COMPARATIVE STUDY OF HYSTEROSCOPIC ENDOMETRIAL RESECTION VERSUS THERMACHOICE BALLOON ABLATION IN PERIMENOPAUSAL DYSFUNCTIONAL UTERINE BLEEDING

Document Type : Original Article

Authors

1 From Departments of Obstetrics & Gynaecology, Faculty of Medicine, Tanta and Cairo Universities, Egypt

2 From Departments of Obstetrics & Gynaecology, Faculty of Medicine, Tanta and * Cairo Universities, Egypt

Abstract

Objectives : To evaluate the effects and sequelae of transccrvical resection of the endomctrium (TCRE) and
thermachoice balloon ablation in the management of perimenopausal dysfunctional uterine bleeding.
Design: Prospective study.
Setting : Tanta and Cairo University Hospitals.
Patients : The study included 70 women complaining of primenopausal dysfunctional uterine bleeding.
Intervention: Women were randomized to cither treatment with the cndomelrial resection or thermal balloon ablation
and followed up for 6 months.
Outcome measures: Evaluation of treatment efficacy was done by a scoring system. Quantification of the quality of life
aspects was done via a special questionnaire.
Results: The present study revealed that hysteroscopic resection of the endomctrium takes an average time of
34.2±10.52 minutes. Regarding the operative and postoperative complications, one patient had perforation, another case
developed postoperative hematometra and a third case had persistent excessive bleeding. Blood haemoglobin and scrum
ferritin increased significantly within 6 months after the operation. The operation resulted in a reduction in bleeding
score at 3, 6 nd 12 months respectively. About 81% of women felt very satisfied and satisfied within one year.
Thermachoice balloon ablation takes an average of 12.4+4.32 minutes. Operative and postoperative complications,
pregnancy occurred in one case 3 months after the procedure. Blood haemoglobin and serum ferritin increased
significantly wihin 6 months after the procedure. The procedure reduced bleeding score at 3, 6 and 12 months
respectively. Whithin one year after the procedure, 80% of patients felt very satisfied and and satisfied were 80%.
Conclusion: Hysteroscopic endometrial ablation and thermachoice balloon ablation arc both effective in women with
dysfunctional uterine bleeding especially in patients who complete their families and desire to retain their uteri.

Keywords

The Egyptian Journal of Fertility of Sterility
Volume 12, Issue 1
January 2008
Pages 53-62

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